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Advocacy

State Oversight of Health Insurer-Provider Contracts

There are important health insurance market and delivery system issues that are developing across the commonwealth. In response, the state legislature is considering changes in state oversight of insurer and hospital contracts.

HAP believes there is a compelling public policy interest for the state to ensure that there is a competitive insurance market to enable broad access to coverage.

However, HAP opposes legislation that would result in a regulatory framework that either:

  • Prevents health care providers from being able to effectively structure contractual relationships with health plans
  • Unduly interferes with insurance market competition

Related News

April 17, 2018

HAP-Supported Bill to Curb Opioids, Reform Workers Comp Sent to Governor

Yesterday evening, the Pennsylvania House voted 101-92 to approve HAP-supported legislation to curb the use of opioids by injured workers and to better the commonwealth’s workers’ compensation system.


April 13, 2018

Court Rules against DHS in HealthChoices Bid Protests, HAP Assessing Next Steps

This week, the Commonwealth Court of Pennsylvania ruled against the Pennsylvania Department of Health and Human Services (DHS) in three separate appeals from bidders involved in the HealthChoices procurement process. HAP staff reviewed the court documents and have contacted DHS for its analysis of the future of the HealthChoices program.


April 10, 2018

CMS Finalizes Rules Governing Health Insurance Marketplaces

The Centers for Medicare & Medicaid Services (CMS) yesterday issued its final rule impacting insurance plans offered on the health insurance marketplaces under the Affordable Care Act. 


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